scholarly journals Giant juvenile fibroadenoma: a case report

2018 ◽  
Vol 5 (4) ◽  
pp. 1589
Author(s):  
Prashant Pareek ◽  
Priyanka Pareek
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Common Occurrence ◽  
Breast Lump ◽  
Adolescent Population ◽  
Post Operative Period ◽  
Paediatric Patients ◽  
Co Morbidity ◽  
Breast Lumps

Breast Lumps are not a common occurrence in paediatric patients. When encountered, they call for a thorough workup and meticulous treatment plan. Like in adults, fibroadenomas can be seen in children. These are termed 'juvenile fibroadenomas'. When these are larger than 5cm or weigh more than 500gm, they can be called 'giant juvenile fibroadenomas'. These comprise 1-8% of breast lumps in adolescent population. We report here a case of a 10 years old girl who presented with a rapidly growing unilateral breast lump which provided a diagnostic dielemma but was diagnosed as giant juvenile fibroadenoma on histopathology performed post excision. She was successfully treated surgically by removing the entire well-defined lump intact after raising overlying breast flaps. The post-operative period was uneventful. The patient shows no signs of recurrence or co-morbidity even now at follow up OPD visits.

scholarly journals Complex fibroadenoma with focal ossification- an enigmatic finding in a less common tumor

2021 ◽  
Vol 8 (5) ◽  
pp. 1650
Author(s):  
Subhransu Kumar Hota ◽  
Ranjana Giri ◽  
Hardik Kabra ◽  
Devika Chauhan ◽  
Prita Pradhan ◽  
...  
Keyword(s):  
Excision Biopsy ◽  
Radiological Findings ◽  
Breast Lump ◽  
In Situ Carcinoma ◽  
Unusual Occurrence ◽  
Malignant Lesions ◽  
Breast Lumps ◽  
Sclerosing Adenosis

Breast lumps have diverse causes including benign as well as malignant lesions. Fibroadenoma (FA) is a common cause of breast lump. Complex fibroadenomas, a particular subtype, pose diagnostic dilemmas due to confusing the radiological findings and hold higher incidence of transformation to malignancy. A 49 year old female presented with a painless lump in right breast for 2 years which appeared calcified on radiology. Excision biopsy was performed which grossly revealed an encapsulated grey-white firm to hard with cystic areas. Microscopically the sections showed a well encapsulated fibroepithelial tumor showing areas of sclerosing adenosis, hyalinization, cysts lined by cuboidal cells with eosinophilic secretions, areas of calcification and ossification. No evidence of lobular hyperplasia or in-situ carcinoma was seen. Patient was advised follow up. This case represents the unusual occurrence of complex fibroadenoma in a middle-aged female showing with ossification.

scholarly journals Mandibular Full-Arch Rehabilitation over 3 Straight Immediately Loaded Implants: 8 Years of Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Márcio de Carvalho Formiga ◽  
Magda Nagasawa ◽  
Jamil Awad Shibli
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Treatment Option ◽  
Successful Treatment ◽  
Treatment Plan ◽  
Adequate Treatment ◽  
The Past ◽  
Technical Complications ◽  
Edentulous Patients

Mandibular full-arch restoration is a good and successful treatment option for totally edentulous patients. In the past years, several studies have described the placement of 4 to 6 implants to restore this type of case; however, an option using 3 dental implants placed in strategic and specific positions could also be an alternative. Therefore, this case report describes a full-arch rehabilitation on 3 straight, immediately loaded implants after 8 years of follow-up. The restoration presented no biological or technical complications during this follow-up period, showing that an adequate treatment plan was able to allow good results using this treatment option.

Direct Laminate Veneers with Resin Composites: Two Case Reports with Five-Year Follow-ups

2010 ◽  
Vol 11 (4) ◽  
pp. 56-62 ◽  
Author(s):  
Yusuf Ziya Bayindir ◽  
Yahya Orcun Zorba ◽  
Cagatay Barutcugil
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Composite Laminate ◽  
Case Reports ◽  
Treatment Plan ◽  
Resin Composites ◽  
Enamel Hypoplasia ◽  
Anterior Teeth ◽  
Laminate Veneers

Abstract Aim The aim of this report is to present five-year follow-ups of two different applications for the use of direct laminate resin-based composite veneers to improve esthetics. Background Defects in the maxillary anterior teeth, such as enamel hypoplasia and peg lateral, can present esthetic challenges. Furthermore, a treatment plan that can be completed in a single appointment is highly desirable. This case report presents two different clinical cases involving the use of direct laminate resin-based composite veneers with five-year follow-ups. Case Report Case 1: A 17-year-old female patient was referred for treatment of her anterior teeth, which were unesthetically altered due to enamel hypoplasia and dental caries. A treatment plan was developed that included restoring the affected teeth with direct resin-based composite laminate veneers to improve the patient's appearance. The six maxillary anterior teeth were prepared for and restored with direct resinbased composite laminate veneers. At the fiveyear follow-up, the patient was satisfied with the restorations both esthetically and functionally. Case 2: A 15-year-old female patient also was referred for treatment to improve the appearance of her maxillary anterior teeth. A treatment plan was developed with two objectives: (1) to restore the undersized supernumerary crown in the area of the maxillary right lateral incisor and (2) to close the anterior diastemas. The facial surfaces were conservatively prepared and resin-based composite was applied with the aid of transparent crown forms. After completion of the treatment, the patient was recalled at six-month intervals. At the five-year follow-up appointment, the restorations were intact, no adverse effects were noted, and the resultant appearance was highly satisfactory for the patient. Summary The use of direct resin-based composite laminate veneers and adhesive bonding systems has been shown to provide an esthetic alternative to metal-ceramic or all-ceramic crowns for the rehabilitation of anterior teeth. This treatment option offers another advantage, namely a lower cost compared to an indirect technique. Other more complex and costly treatment options in the future are not ruled out. Clinical Significance In the present two cases, the initial and five-year follow-up results support the use of direct resin-based composite laminate veneers with minimal altering of healthy tooth structure. Such results should encourage clinicians to seek a cost-effective technique such as direct resin restorations to improve a patient's esthetic appearance in a single appointment. Citation Zorba YO, Bayindir YZ, Barutcugil C. Direct Laminate Veneers with Resin Composites: Two Case Reports with Five-Year Follow-ups. J Contemp Dent Pract [Internet]. 2010 July; 11(4):056-062. Available from: http://www. thejcdp.com/journal/view/volume11-issue4-zorba

Single-Tooth Rehabilitation Combining Root Displacement and Crown Lengthening Two-Year Follow-Up: A Case Report

2021 ◽  
Author(s):  
JC Pontons-Melo ◽  
IM Garcia ◽  
MA Melo ◽  
FM Collares
Keyword(s):  
Case Report ◽  
Clinical Decision Making ◽  
Treatment Plan ◽  
Critical Evaluation ◽  
Treatment Strategies ◽  
Anterior Tooth ◽  
Clinical Report ◽  
Single Tooth ◽  
Crown Lengthening

Clinical Relevance Combined techniques to expose circumferential tooth structure associated with subsequent restoration may represent a valid option in many situations. This case provides an example of the successful management of the anterior tooth rehabilitation combining root displacement and crown lengthening. SUMMARY Rehabilitation of an extensively compromised single anterior tooth represents an intriguing challenge for dentists, particularly when the rehabilitation involves esthetic, psychosocial, and functional requirements. The success in rehabilitating a patient with a conservative approach depends on a critical evaluation of the remaining structures, precise treatment plan, systematic treatment strategies, and patient compliance. In this case, the patient’s chief complaint was the undesirable appearance of the maxillary right lateral, caused by the displacement of the post and crown. Clinical examination revealed a remaining tooth with coronal fracture, severe loss of tissue due to caries, and absence of ferrule effect. Radiographic examination revealed that the fracture margin was located subgingival. This case report describes a single-tooth rehabilitation involving a combination of root displacement via orthodontic extrusion and crown lengthening. The rehabilitation was followed by post-and-core restoration using a prefabricated glass fiber post associated with a disilicate lithium crown. The clinical decision making and combined effect of both treatment strategies are explained in this report. The treatment required three months, including recovery times after surgery and the placement of the provisional crown. The patient was esthetically and functionally satisfied with the restoration. Patient follow-up examination was performed 24 months after the treatment. This clinical report contributes to the clinical practice and exemplifies the possibility of rehabilitating the natural tooth using combined techniques, which may offer particular advantages regarding prognosis and invested efforts.

scholarly journals Management guidelines for amelogenesis imperfecta: a case report and review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
M. Roma ◽  
Puneet Hegde ◽  
M. Durga Nandhini ◽  
Shreya Hegde
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Rare Condition ◽  
Amelogenesis Imperfecta ◽  
Radiographic Findings ◽  
Case Presentation ◽  
Management Guidelines ◽  
Dental Tissues ◽  
Entire Treatment

Abstract Background Rehabilitation of the entire dentition with amelogenesis imperfecta (AI) tends to pose a great challenge to the clinician. Most of the cases of amelogenesis imperfecta are reported to be associated with skeletal and dental deformities which results in severe sensitivity of the dental tissues. Case presentation This clinical case report marks out the total restoration of the oral condition of a young Indian patient diagnosed with the hypoplastic type of amelogenesis imperfecta. Fixed metal ceramic prosthesis were planned to strengthen the masticatory activity, aesthetics, to banish the dental sensitivity and to build up the general persona of the patient. The patient was followed-up at 6 months, 1 year and 2 years intervals. Functional and esthetic impairment was not visible after the follow up period and the treatment outcome was successful. The entire treatment plan was intended to enhance the functional, esthetic and the masticatory component of the occlusal architecture. Conclusion This case report details the presentation, characteristic radiographic findings, and management of a patient with an extremely rare condition of amelogenesis imperfecta.

scholarly journals All-On-Four Protocol With Immediate Load on Short Implants in an Atrophic Mandible: A Case Report with a 4-Year Follow-Up

2018 ◽  
Vol 12 (1) ◽  
pp. 1004-1011
Author(s):  
Enéias Carpejani Rosa ◽  
Tuanny Carvalho de Lima Do Nascimento ◽  
Aline Monise Sebastiani ◽  
Rafaela Scariot ◽  
Tatiana Miranda Deliberador ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Treatment Planning ◽  
Treatment Plan ◽  
Surgical Techniques ◽  
Masticatory Function ◽  
Facial Esthetics ◽  
Short Implants ◽  
Computer Tomography Scan

Purpose: Edentulism has been demonstrated to have negative social and psychological effects on individuals that include adverse impacts on facial and oral esthetics, masticatory function and speech abilities, that when combined, are translated into significant reductions in patients’ quality of lives. It is well-known that immediate placement of implants is a challenging surgical procedure that requires proper treatment planning and surgical techniques. Therefore, the present study describes a 4-year follow-up case report where short implants were placed in an atrophic mandibule and were loaded with the utilization of an all-on-four prosthetic protocol. Case report: A 54 year-old woman dissatisfied with her oral and facial esthetics, masticatory function and speech ability came to the implantology clinic of the Positivo University seeking for oral rehabilitation treatment. After detailed physical and clinical examination, a Computer Tomography scan (CT-scan) was performed to determine the patient’s bone ridge density, dimensions and eligibility for the placement of dental implants. The CT-scan results have indicated the presence of an extremely atrophic mandibular bone ridge. The CT-scan was also used as an aid during the final restoration treatment planning in terms of vertical dimension of occlusion, masticatory function, and stabilization of the lower denture. An all-on-four protocol supported by short implants was then treatment-planned to reduce time, costs and morbidity, and also to achieve superior immediate esthetic results and masticatory function. To reconstruct the patient’s atrophic edentulous mandibule, 4 short implants, including 2 distally tilted, were placed with a final torque of 45 Ncm. Results: Following the development and implementation of a complex treatment plan, the patient displayed stable soft and hard tissues at 4-year postoperative follow-up assessment, demonstrating the effectiveness of the all-on-four technique supported by short implants. Conclusion: Within the limits of this study, the present case report demonstrated that the all-on-four prosthetic protocol with immediate loading on short implant was effective in an atrophic mandible over a 4-year follow-up.

scholarly journals Interdisciplinary planning as a landmark for treatment: Case report with a 2-years follow-up

2018 ◽  
Vol 23 (6) ◽  
pp. 41.e1-41.e12
Author(s):  
Roberto Perasso ◽  
Monica Imelio ◽  
Renato Alcidi
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Deep Bite ◽  
Significant Correction ◽  
Natural Teeth ◽  
Points Of View ◽  
Abstract Case ◽  
The Right

Abstract Case report: young adult woman with esthetic complaints regarding her smile and frontal teeth aspect. At first glance, the problem seemed to be only the shape of the lateral upper incisors and a small diastema between the central incisors. The diagnosis shared between the orthodontist and the prosthetist led us to consider some other important aspects, such as the deep bite, the teeth inclination and the lips support. All these findings led us to consider that the right way to improve the esthetics of the patient’s smile was to plan an orthodontic treatment. This would serve not only for the distribution of the spaces, but mostly it would improve all other problems, before the restoration of the upper lateral teeth with two ceramic veneers. Results: the treatment plan achieved the right distribution of spaces for upper lateral incisors, significant correction of the incisors inclination with important reduction of overbite and better lip support, upper laterals restorations with ceramic feldspathic veneers, obtaining a good integration with natural teeth satisfying patient complaint. Conclusion: in cases which involve interdisciplinary approach, the fundamental step comes from the beginning, when only an initial diagnosis shared among the team of specialists can define the patient problems from different points of view. In this way, we can better understand the competency fields and plan the right treatment and time sequence.

scholarly journals Modern Trends in Prosthetic Implant Rehabilitation of Patients: Case Report with 5-Year Follow-Up

2019 ◽  
Vol 23 (1) ◽  
pp. 40-44
Author(s):  
Aleksandar Đorđević ◽  
Mirko Mikić ◽  
Jelena Stanišić ◽  
Filip Đorđević
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Oral Surgery ◽  
Treatment Plan ◽  
Life Quality ◽  
Bone Substitutes ◽  
Oral Health Status ◽  
General Improvement

SummaryBackground/Aim: Implant treatment expands extensively the possibilities of prosthetic treatment, which provide benefits, bigger comfort as well as general improvement of the patient’s life quality. In cases with no possibility of implantation, it is possible to improve conditions by using modern methods for bone tissue repair. One of factors important for the long-term success is proper oral hygiene, as well as raising awareness of its importance to patients. The aim of the paper is to present a patient rehabilitated with multiple implants and followed-up for a five-year period, and to point out the importance of raising patient’s awareness and motivation in order to preserve the results of the treatment.Case Report: A 31-year-old patient was admitted to the oral surgery clinic for rehabilitation of a poor oral health status. After taking history, clinical examination and additional analysis, the following treatment plan was suggested: to remove impacted upper canines and to put an implant supported by fixed prosthesis in the upper jaw, to make two implants supported by bridges laterally and one dental supported by bridge in the inter-canine sector in the lower jaw. The treatment was carried out in several stages that involved extraction of residual roots and impacted teeth, augmentation of bone defects with bone substitutes and bio-absorbable membranes, placing implant, and prosthetic rehabilitation. By verbal communication with the patient, we pointed out the importance of proper oral hygiene and regular check-ups. The five year follow-up showed the absence of factors that could adversely affect the success of the treatment, and the patient was still highly motivated to maintain proper oral hygiene.Conclusions: It is possible to achieve predictable results in complex cases by using a multiphase prosthetic treatment supported by implants. Concerning a long-term success, motivation, proper information and patient’s willingness to cooperate play an important role.

scholarly journals Late Developing Supernumeraries in a Case of Nonsyndromic Multiple Supernumerary Teeth

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Mine Bozkurt ◽  
Tugba Bezgin ◽  
Ayşegül Tüzüner Öncül ◽  
Rukiye Göçer ◽  
Şaziye Sarı
Keyword(s):  
Case Report ◽  
Primary Teeth ◽  
Treatment Plan ◽  
Chief Complaint ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Supernumerary Teeth ◽  
Subsequent Formation ◽  
Delayed Eruption

Objective. This case report presents 3-year follow-up of a case of nonsyndromic multiple supernumerary teeth (NSMST) with 11 supernumerary teeth, 2 of which showed subsequent formation.Case Report. A 10-year-old girl was referred to the dental clinic with the chief complaint of delayed eruption. Radiographic examination showed 9 retained supernumerary teeth. The treatment plan consisted of extraction of the supernumerary teeth and associated primary teeth in order to allow the permanent teeth to erupt. After 2 years of follow-up, 2 additional supernumerary teeth were observed.Conclusion. Regular follow-up for late forming supernumeraries is crucial for NSMST cases.

Granular Cell Ameloblastoma - A Case Report

2013 ◽  
Vol 5 (1) ◽  
pp. 1-4
Author(s):  
Mandana Donoghue ◽  
M Selvamani ◽  
Rajeshwari G. Annigeri ◽  
G.S Madhushankari ◽  
A. Yamuna Dev ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Degenerative Change ◽  
Granular Cell ◽  
Surgical Approaches ◽  
Soap Bubble ◽  
High Tendency ◽  
Aging Phenomenon ◽  
Cell Changes

ABSTRACT Granular cell ameloblastoma is a rare variant, accounting for 1-5% (3.5%) of ameloblastomas. It has clinical behavior similar to other subtypes, and show high tendency to recur on conservative surgical approaches. It can also show metastasis, hence the treatment plan should include regular follow up of the patients, after radical surgery. Here we are presenting a case report of granular cell ameloblastoma occurring in a 45 years old male patient clinically, the lesion was occurring in the left posterior mandible creating soap bubble appearance on radiography. Histopathologically, granular cell changes were prominent. The granular appearance is due to lysosomal aggregation and their presence indicates degenerative change or related to aging phenomenon rather than aggressiveness. The lesion was treated by surgical resection and a period of 3 years follow up showed no recurrence.

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